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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Nawabganj Upazila Health Complex | Health Bulletin 2015 |
Preface
It's a great pleasure to me that the health bulletin of Nawabgonj Upazila Health Complex containing all the health related information's and data for the year 2014 is going to be published. I hope that information here with this bulletin will help for planning and bridging the gaps in health services of this Upazila. Govt. of Bangladesh is much more committed to ensure better health for all. For this reason MOHFW introduced a developmental program under the heading HPNSDP 2011-2016 and under which 32 operational plan are existing. One of which is health information system and e-health. This bulletin is a part of this plan. This bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin containing the data will help to localize the MDG targets. I would like to congratulate all the concern people to publish this health bulletin and hope this bulletin will help us to take one step ahead towards digital Bangladesh. Thanking all.
Dr.Qumrun Nahar
UH&FPO
Nawabganj Upazila Health Complex

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nawabganj
Organization Code 10000080
Name of UHFPO Dr.Qumrun Nahar
Land Phone No. 1 02-027765009
Land Phone No. 2
FAX No.
Mobile No. 01714351435
Email nawabganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.7208 And Long: 90.2565
No. of Unions in the Upazila14
No. of Households in the Upazila 64,955
Population in the Upazila 374,930
Area of Upazila in sq km 247.64

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 11 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 35 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 17 80
No. of NGO Clinics/Facilities 3 0

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,368


Under 5 Mortality Rate: 23.208 (Per 1,000 live births)
Infant Mortality Rate: 19.815 (Per 1,000 live births)
Neonatal Mortality Rate: 14.251 (Per 1,000 live births)
Still Birth Rate: 3.664 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,221
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 101%

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 7
Total No. of Recipients Who Took at least one ANC: 6,097
Total Number of Deliveries: 3,233
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is: 95.01 per 100,000 live births.

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 28,589 31,655 60,244 16,032 18,005 34,037 94,281 4,045 2,825 6,870 1,822 1,310 3,132 10,002
Union Sub-Centres 13,587 15,281 28,868 3,549 4,246 7,795 36,663 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 115,392 199,884 315,276 23,916 23,952 47,868 363,144 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 2,292 4,215 6,507 1,086 1,995 3,081 9,588 20 9 29 1 0 1 30
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 9,588
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1192 12.43
2 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 695 7.25
3 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 685 7.14
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 586 6.11
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 363 3.79
6 J45 Asthma X: Diseases of the respiratory system 341 3.56
7 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 309 3.22
8 O82 Single delivery by caesarean section XV: Pregnancy, childbirth and the puerperium 289 3.01
9 I15 Secondary hypertension IX: Diseases of the circulatory system 234 2.44
10 J47 Bronchiectasis X: Diseases of the respiratory system 172 1.79

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P29 Cardiovascular disorders originating in the perinatal period XVI: Certain conditions originating in the perinatal period 6 20.00
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 5 16.67
3 J45 Asthma XVI: Certain conditions originating in the perinatal period 5 16.67
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 3 10.00
5 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 3.33
6 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 3.33
7 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 3.33
8 S09 Other and unspecified injuries of head XIX: Injury, poisoning and certain other consequences of external causes 1 3.33
9 I15 Secondary hypertension IX: Diseases of the circulatory system 1 3.33
10 E14 Unspecified diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 3.33

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 18,668
Bed Occupancy Rates (%) 102.29
Average Length of Hospital Stay (No. of days per patient) 1.95
Hospital Death Rate (%) 0.31


Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 432
Minor Surgeries 3,245

 

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 22 21 7 -6 -27.27
Non Doctor 0 0 0 0 0.00
Class II 15 1 12 2 13.33
Class III 102 48 26 28 27.45
Class IV 24 7 7 10 41.67
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 7 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 1 10 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 2 1 0 1 50.00
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 37 20 17 0 0.00
Class IV 0 0 0 0 0.00

 

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 35 30 11 -6 -17.14
Non Doctor 0 0 0 0 0.00
Class II 15 1 12 2 13.33
Class III 154 72 54 28 18.18
Class IV 26 8 7 11 42.31
Other Hospitals & Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00

 

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 13 13 22 22 0 0 1 3 0
Nurse 0 0 0 0 15 13 0 0 0 0 0
Medical Assistant 0 0 13 13 3 3 0 0 0 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 0
CHCP 37 37 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 4 4 0 0 0 0 6
AHI 0 0 0 0 12 12 0 0 0 0 0
HA 0 0 0 0 60 47 0 0 0 0 0

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 1 1 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 0 1 0 0
Autoclave 3 1 0 0 2
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 3 3 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 2 0 0 0 2
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 0 0 2
Pulse oximeter 2 1 0 1 0
Dental equipment
Dental unit 2 1 1 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 3 1 2 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 1 1 0 0 0
Blood bank refrigerator 4 2 0 2 0
Refrigerator 2 1 1 0 0
Vehicles
Ambulance 2 1 1 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 3 3 0 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 5 2 0 0
Laptop 37 37 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 38 38 0 0 0
Multimedia 1 1 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 142 123 10 3 6

Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Nawabganj Upazila Health Complex
Important information and necessary issues for Nawabganj Upazila Health Complex. In spite of Nawabgonj Upazila Health Complex is a 50 beded hospital. There are 35 Community Clinics and 2 Union Sub-Centers in this Upazila which are working satisfactory. There is sufficient doctors posted in this Upazila. ur cordial efforts we could not achieve satisfactory success in few subjects due to Shortage of manpower. As for example we could not perform General Surgery due to lack of General Surgeon. EYE and ENT consultants could not do their specific duties due to lack of instruments. More sweepers are required for keeping the hospital more clean. Vacant posts of third and fourth class employees should be filled up urgently. A 500ma digital X-ray machine, a deep tube-well ultrasonography machine can meet the demand of patients which can improve the standard of service. Still then, all the existing manpower work here as a team to deliver the maximum and satisfactory service to the patients. Hence we are approaching towards the achievement of MDG. HED should be more careful to construct maintain Infrastructures. Individual dept like Eye, ENT, general Surgery, Dental Surgery would be well equipped and would be brought under strong responsibilities regarding their tasks. Dr.Qumrun Nahar UH&FPO Upazila Health Complex Nawabganj, Dhaka.